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Medicaid Program Integrity on the Agenda

Medicaid Fraud Control

Medicaid is a joint federal and state government health insurance program that helps provide medical coverage for people with low incomes and limited resources. Medicaid is basical...

Medicaid Myths Uncovered: What Families Need to Know

Get informed about the Medicaid eligibility criteria and rules that can affect families planning for long-term care options. The post Medicaid Myths Uncovered: What Families Need t...

Modernizing Program Integrity in Medicaid Self-Directed Care

States must rethink how program integrity is designed and delivered by focusing on four key priorities that enable oversight to scale alongside these programs. The post Modernizing...

State Cuts Off Thousands Of Medicaid Providers In Race To Keep Federal Funds

One state just cut ties — at least temporarily — with nearly two-thirds of the Medicaid service providers it was reviewing in a quest to protect programs against fraud and keep fed...

Medicaid’s Next Performance Test: Can Plans Reach the Members They’re Accountable For?

For many of Medicaid’s highest-need members, the problem isn’t that services don’t exist. It’s that the system can’t consistently reach the people who need those services most. The...

States gird for new Medicaid ‘medically frail’ rule

State Medicaid agencies are concerned that many sick and disabled enrollees will lose their coverage because the Trump administration is narrowing the definition of who is “medical...

Congress Returns, Medicaid Rules Loom [Podcast]

Louisiana’s Reporting Law Chills Immigrant Medicaid Applications

A year after the measure’s passage, a state law is keeping immigrants and their children from accessing Medicaid even when they qualify.

Vincent Russo on CFN Live: Medicaid Myths Uncovered

In this segment, Vincent J. Russo breaks down Medicaid Transfer Penalty and Lookback Rules in a clear, practical way — and why planning ahead matters. You don't want to miss this e...

Smoke And Mirrors

The Trump administration was touting its cuts to Medicaid, saying it was going after fraud—despite the fact that the "fraud" consisted of billing issues, not actual fraud.Trump adm...

Louisiana Medicaid: They Knew. They Were Told. It Kept Happening.

(Citizens for a New Louisiana) — Over the past few weeks, Minnesota has found itself in the headlines amid allegations that Medicaid programs were exploited on a massive scale. Whe...

Do You Administer SNAP or Medicaid Benefits? Help ProPublica Report on America’s Safety Net.

The post Do You Administer SNAP or Medicaid Benefits? Help ProPublica Report on America’s Safety Net. appeared first on ProPublica.

The $450 Prescription Shock: What to Do When Medicaid Still Leaves You With a Huge Bill

Imagine walking up to the pharmacy counter expecting your Medicaid coverage to keep your prescription affordable, only to be told you owe $450 for a...

Medicaid Work Rules Force States To Scrap Plans And Rework Systems

Health experts and advocates say federal rules implementing new Medicaid requirements upend months of work by state governments to prepare the computer systems that determine who's...

Medicaid Takes Center Stage in DOJ’s 2026 Health Care Fraud Takedown

The Justice Department’s (DOJ) 2026 National Health Care Fraud Takedown will understandably be read by many health care organizations as another Medicare fraud announcement. The he...

The Great California Medicaid Grift

Trump’s Medicaid Work Rules Force States To Scrap Plans and Rework Systems

Assembly Backs Bill Requiring Employers to Pay Medicaid Fee

TRENTON – The Assembly this afternoon passed A-5324, which requires employers to pay a fee for employees, or dependents of employees, who receive health benefits coverage through t...

States gird for new Medicaid ‘medically frail’ rule

State Medicaid agencies are concerned that many sick and disabled enrollees will lose their coverage because the Trump administration is narrowing the definition of who is “medical...

Medicaid Work Requirements Are Coming – Here’s Who’s Most at Risk

Medicaid work requirements take effect in 2027, and advocates warn millions of eligible patients, including those with rare diseases, could lose The post Medicaid Work Requirements...

New York defends Medicaid oversight, CDPAP at congressional fraud hearing

New York's Medicaid Director, Amir Bassiri, defended the state's healthcare oversight before Congress, while PPL, the private company that administers the Consumer Directed Persona...

States Complain About High Price Tag Of Medicaid Work Requirements

by Ireland Owens at CDN - Some U.S. states are complaining about the high cost of Medicaid work requirements, Politico reported on Sunday. The Centers for Medicare &amp; Medicaid...

CMS Proposes Caps on Medicaid State Directed Payments and Fee for Service Supplemental Payments, Further Cutting Federal...